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The safety and efficacy of drug-optimized radiofrequency ablation strategy for persistent atrial fibrillation and the correlation between different intraoperative outcomes of nifekalant and left atrial matrix

The safety and efficacy of drug-optimized radiofrequency ablation strategy for persistent atrial fibrillation and the correlation between different intraoperative outcomes of nifekalant and left atrial matrix

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2300073663
Enrollment
Unknown
Registered
2023-07-18
Start date
2023-07-20
Completion date
Unknown
Last updated
2023-07-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

persistent atrial fibrillation

Interventions

treatment group :Nifekalant
Control group:DC cardioversion

Sponsors

The Second Affiliated Hospital of Nanchang University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Patients with symptomatic persistent or long-duration nonvalvular atrial fibrillation (persistent or long-duration atrial fibrillation confirmed by preoperative routine 12-lead ECG or Holter) 2. Unwilling to take oral antiarrhythmic drugs or ineffective to at least one oral antiarrhythmic drug 3. Be willing to undergo radiofrequency ablation of an atrial fibrillation catheter between the ages of 18 and 80 and agree to a written informed consent 4. Persistent atrial fibrillation after circumferential pulmonary vein vestibular isolation

Exclusion criteria

Exclusion criteria: 1. patients who previously performed radiofrequency ablation of atrial fibrillation 2. The diameter of the left atrium (LA) >55mm 3. Left atrial appendage thrombus 4. Patients with valvular heart disease, hyperthyroidism, severe structural heart disease and previous surgical history 5. There are contraindications to oral anticoagulant therapy or antiarrhythmic drugs 6. patients who had atrial septal defect repair or had an ASD/PFO occluder 7. NYHA IV 8. LVEF<30% 9. Life expectancy with other serious diseases is less than 2 years 10. Patients who lost to follow-up after initial catheter ablation

Design outcomes

Primary

MeasureTime frame
atrial fibrillation recurrence;

Secondary

MeasureTime frame
The incidence of postoperative complications;operative time;X-ray exposure time;

Countries

China

Contacts

Public ContactLi Juxiang

The Second Affiliated Hospital of Nanchang University

ljx912@126.com+86 136 5709 2311

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026